Key result
Post-surgery cardiac rehabilitation is associated with similar health utility improvements in middle-aged and older patients.
Why the study?
Does phase II cardiac rehabilitation improve health utility in middle-aged and older-aged patients after cardiac surgery?
Observational (n=62)
Does phase II cardiac rehabilitation improve health utility in middle-aged and older-aged patients after cardiac surgery?
p-value: p=0.75
Phase II cardiac rehabilitation is associated with significant improvements in patient-reported health utility at 3 months post-cardiac surgery, with similar benefits observed in both middle-aged and older patients.
Supports similar post-surgical utility gains across ages; leaves open phase II rehabilitation effects and requires randomized confirmation.
Background: Health utility, which can be assessed by several preference-based utility measures, is an important measure in the analysis of cost effectiveness in health care. We aimed to examine differences in health utility by age following recovery phase II cardiac rehabilitation (CR). Methods: This longitudinal observational study assessed 62 consecutive cardiac surgery patients who were divided into a middle-aged group (<65 years, n=33) and older-age group (≥ 65 years, n=29). Health utility assessed by mean Short Form-6D (SF-6D) utility score was measured at 1 and 3 months after cardiac surgery and compared. Results: The mean SF-6D utility scores increased significantly from 1 to 3 months in both the middle-aged group (0.57 ± 0.07 to 0.64 ± 0.09, P<0.001) and the older-aged group (0.59 ± 0.08 to 0.67 ± 0.12, P<0.001). However, no significant period (from 1 to 3 months) by group interactions (middle-aged and older-aged groups) (mean SF-6D utility scores: F [1/60] 0.10, P=0.75) was detected. Conclusion: Following phase II CR, health utility showed an increase in both middle-aged and older-aged cardiac surgery Japanese patients.
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PIzawa et al. (2017) conducted an observational in Cardiac surgery (n=62). Older age (≥ 65 years) vs. Middle age (< 65 years) was evaluated on Mean Short Form-6D (SF-6D) utility score change from 1 to 3 months (p=0.75). Mean SF-6D utility scores increased significantly from 1 to 3 months post-cardiac surgery in both middle-aged and older-aged patients, with no significant difference between age groups (P=0.75).
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